File:The breast- its anomalies, its diseases, and their treatment (1917) (14757034315).jpg

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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lutely sure of the diagnosis, secondly, be- 464 THE BREAST cause the simple excision of a small benign tumor of the breast is a minor operation andone practically devoid of danger, and, finally, because though the growth when firstdiscovered, may in nowise jeopardize the health of the patient, no one can foretellthe time when it may become a serious menace to life as a result of malignanttransformation. The presence of a growth in the breast is, in our judgment, an indication for operationin the absence of grave systemic disease. If the patient with a small benign mammarytumor elects to await some change in the tumor before submitting to operation, sheshould be told that continued growth of the tumor may later necessitate amputationof the breast, or, if the patient is a young married woman who has not borne children,she should be told that a rapid and sometimes painful enlargement of the tumor oftentakes place as the result of hypertrophy incident to pregnancy and lactation. If opera-
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FiG. 168 1.—^Illustrating the Warren operation of plastic resection of the mammary gland,incision. Primary tion is still refused, she should be advised to report to her physician at regular intervalsfor examination. Small, benign, well-encapsulated tumors, situated near the surface of the breast, orin the deeper portions of the upper inner quadrant of the breast, should be removedthrough an incision made directly over them. The Warren method of plastic resectionis applicable to tumors situated in the deeper portions of the lower half of the breast orin its upper outer quadrant, but has not proved satisfactory, in our hands, for theremoval of tumors occupying the upper inner quadrant of the organ. The benig-nancy of the tumor must be confirmed or disproved, in all cases, at the time of the opera-tion by microscopic and macroscopic examination. In the treatment of women past theage of 35, our practice is more radical in some instances than the structure of the tumorwould seem to warra

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